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McKenna Farms Volunteer Application

Thank you for wanting to join our team! Our volunteers are a critical part of everything we do at McKenna Farms. Through the years we have had hundreds of caring individuals give of their time and energies to help McKenna Farms become what we are today. Volunteers can experience the joy of working with gentle horses while positively impacting individuals with special needs. Come gain valuable skills, share your passion for horses, and create lasting memories with us at McKenna Farms. Horse experience is not necessary, all we ask if you have a willingness to serve and learn, we'll fully train you. Our program thrives on consistency; the optimal volunteer would have no less than one hour per week they could share with us (but we will take as many as you'll give!) . While this is not a requirement, we do ask that you carefully consider your schedule before applying. We are excited to train our volunteers fully, this training does take resources, however, and we would like to use our resources wisely. Some of the many exciting opportunities for volunteer involvement on our 30 acre complex include but are not limited to the following: * Assisting in therapy sessions by leading the horse during the session * Assisting in therapy sessions by side walking during the session *Stall Cleaning *Horse Feeding *General Barn Duties *Special events such as Fall Festival, Derby Day and Outreach Events *Assisting children with art classes *Assisting children during our camps *Grounds keeping & gardening. Please fill out the application in full. After you have filled out the application and completed the background check, we can proceed with training in your preferred area of volunteering. McKenna Farms will not share your information; all information is kept confidential.

Basic Info

First, let's get your basic info. We use Wranglr for helping to schedule our volunteers. Please enter your name, email and mobile number. This info will be used to communicate openings, your schedule and important info from McKenna Farms. Make sure you have access to both the email account and the mobile for texts.

First Name *

Last Name *

Email *

Mobile *

Photo & Publicity Release

McKenna Farms Therapy Services PHOTO RELEASE FORM I hereby grant McKenna Farms Therapy Services Inc permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the {Name of Organization} and will not be returned. I hereby irrevocably authorize McKenna Farms Therapy Services Inc to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge McKenna Farms Therapy Services from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS

YES - I CONSENT to photos/publicity release

NO - I DO NOT CONSENT to photos/publicity release

Additional Info

Why do we need this info? Some volunteering roles and duties might require you to work with larger horses, carry heavier things, etc. We also work with Participants that have many different needs and the below information helps us make more informed decisions for our Participants and Volunteers. Please fill out whatever info you are comfortable sharing with us.

Height

Weight

T-Shirt Size

Driver's License (State and # please)

Birth Date*

Parent/Guardian/Caregiver Info

If you are a minor or an adult with legal guardians/caregivers, or are filling out this application on behalf of someone else, please include Parent or Guardian/Caregiver info below.

Parent or Guardian/Caregiver Name

Parent or Guardian/Caregiver Phone

Parent or Guardian/Caregiver Email

Contact Info

Street Address *

Additional Address Info

City *

State *

Postal code *

Country *

Emergency Contact

Emergency Contact Name *

Emergency Contact Relation *

Emergency Contact Phone *

Experience and Health Info

Do you have any previous horse experience? *

Have you had any previous experience working with people with special needs? *

Have you ever been convicted of a crime?

If so, please explain below

Enter your School or Employer name *

Pre-existing Health Conditions (put n/a if none) *

Please list all medication you are taking (including medical marijuana) (put n/a if none) *

Please note any allergies and if EpiPen or inhaler is used (put n/a if none) *

What is your general health status? Tell us about any special needs or health concerns *

Do you have Health Insurance?

Insurance Details - please put company and coverage dates

Important Information and Acceptances

General Liability Release

Under Georgia Law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from inherent risks of equine activities pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated. I would like to participate in the McKenna Farms Therapy Services, Inc program. I acknowledge the risks and potential for risks of horse activities. I hereby, intending to be legally bound, for myself, my heirs, and assigns, executors or administrators, indemnify, hold harmless, waive release forever all claims for damages against McKenna Farms Therapy Services, Inc., its board of directors, therapists, aides, volunteers, and/or employees for any and all injuries and/or losses, including theft, loss of property, or death that I/my son/daughter/ward may sustain while participating in the McKenna Farms Therapy Services program and also agree to hold harmless per the verbiage above, the following owners, Dennmar, Inc. As a volunteer at McKenna Farms Therapy Services, Inc., I acknowledge the risks and potential for risks of a horseback riding program. However, I feel the possible benefits to me and the clients I work with are greater than the risks assumed. I, hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against McKenna Farms Therapy Services, Inc. I understand the information provided above is accurate to the best of my knowledge. I know of no reason why I should not participate in the volunteer program. By checking the box, I agree I have read the above consents and agree to abide by all policies.

I accept the release of liability *

Confidentiality

I understand that all information (both written and verbal) regarding clients, their families and non-public business records of McKenna Farms Therapy Services, Inc., with regard to but not limited to personal contact information and medical information shall be held in strict confidence at all times and is not to be shared with anyone (except as needed with McKenna Farms Therapy Services facility) without the express written consent of the client (or parent/legal guardian in the case of a minor) or staff members.

I accept the confidentiality release *

Background Check Release

At McKenna Farms, we require a Background Check for our Volunteers.

I hereby grant McKenna Farms permission to run a background check *

Consent to Electronic Signature

Volunteer or the Undersigned representative authorized that a copy of this document, electronic or otherwise, may be used in place of the original and is as valid as the original

I consent to Electronic Signature *

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